612-353-4269
612-445-5442
Explore Our TCM/AMH-TCM Expertise
There’s much to see here. So, take your time, look around, and learn all there is to know about us. We hope you enjoy our site and take a moment to drop us a line.
Assessment
For adults, the FA, as defined in Minnesota Statutes, must include the person’s: health care coverage; access to preventative and routine health care; individual participation in recommended physical and mental health care treatment; and wellness issues important to the person.
The case manager must complete the FA within 30 days of the first meeting with the person and at least every 180 days after the development of the IFCSP or ICSP. The FA must be developed with input from the person and with the person’s service providers and significant members of the person’s support network.
Adult Mental Health – adult MH-TCM assessment must include:
- Reviewing the DA
- Assessing with the person receiving MH-TCM the strengths, resources, supports, needs, functioning, physical and mental health conditions, safety, vulnerability and injury risk. Assessment should include family members, significant others and providers the person identifies as being important to his or her recovery process
- Screening for substance use and abuse
- Reviewing and updating documentation of the person’s status, cultural considerations and functional description in all the FA domains specified in Minnesota statutes
Monitoring and Coordination
A significant portion of the case manager’s monitoring and coordination activities are completed over the phone with other providers, resources and service representatives. Monitoring and coordination serves four global purposes:
- Ensure service coordination by reviewing programs and services for accountability and verify that everyone is addressing the same purposes stated in the ICSP or IFCSP so that the person is not exposed to discontinuous or conflicting interventions and services
- Determine achievement of the goals and objectives in the ICSP or IFCSP to see if goals are being achieved according to the ICSP or IFCSP’s projected timelines and continue to fit the person’s needs
- Determine service and support outcomes through ongoing observations, which can trigger reconsideration of the plan and its recommended interventions when the ICSP or IFCSP is not accomplishing its desired effects
- Identify emergence of new needs by staying in touch with the person to identify problems, modify plans, ensure the person has resources to complete goals and track emerging needs
- Is a person with a serious and persistent mental illness (SPMI), as determined by a diagnostic assessment (DA).
- Is determined by a county or tribe to appear to be eligible for case management but due to the person’s initial refusal to participate in the DAprocess, the eligibility determination can’t be completed. In these circumstances, eligibility is limited to four months from the day the person first received case management services.
- Is an adolescent, who has received children’s MH-TCM services within 90 days of turning 18 years old, and upon turning 18, seeks adult MH-TCM services. Transition-aged youth maintain eligibility for MH-TCM for up to 36 months and based upon the most recent DA when the youth transitioned to adulthood.
Planning
A case manager must develop an ICSP or IFCSP with the person and include the following:
- Goals and the specific services
- Activities for accomplishing each goal
- Schedule for each activity
- Frequency of face-to-face contact with the case manager The case manager must complete an ICSP or IFCSP within 30 days of the first meeting with the person and at least every 180 days after the development of the service plan. The case manager must develop the service plan with the person, other service providers and significant members of the person’s support network.
Referral and Linkage
Referral and linkage to MH-TCM services involves resource acquisition to help the person obtain planned goals.
A primary focus of referral and linkage is to break down the walls separating people from the community to replace segregation with true community integration. Case managers must be familiar with the community and key contacts within particular agencies (housing, education, vocational, financial, health care services and other providers) to assist the person. Referral and linkage involves interactions with the person to:
- Connect with informal natural supports
- Link with the local community, resources and service providers
- Refer to available health treatment and rehabilitation services
BETTER YET, SEE US IN PERSON!
We love our customers, so feel free to visit during normal business hours.
GET IN TOUCH WITH US
THE GREAT DIFFERENCE HERE
Shire Scientific, LLC brings together professionals from different backgrounds including those from minority communities with plenty of expertise in various fields including science, research, and health care services.